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NPI Code Detail

MEDICARE: DELIA GONZALEZ DELEON M.D.

MEDICARE: DELIA GONZALEZ DELEON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology PhysicianP7113TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205062726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELIA GONZALEZ DELEON M.D.
Provider Business Mailing Address
First Line : 1007 E 41ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4809
Country : US
Telephone Number : 512-451-3131
Fax Number : 512-453-1300
Provider Business Practice Location Address
First Line : 1007 E 41ST ST
Second Line :
City : AUSTIN
State : TX
Zip : 78751-4809
Country : US
Telephone Number : 512-451-3131
Fax Number : 512-453-1300
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2009
Last Update Date : 02/05/2014

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